Claims Detail Screen
Locate the terms found in the claims detail screen.
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BRAND-NAME
DATE-OF-SERVICE
DATE-SUBMITTED
DAW-CODE
DAY-SUPPLY
DEA-CLASS
GENERIC-INDICATOR
GENERIC-NAME
GPI
MANUFACTURER
NABP
NDC
NPI
PRESCRIBER-ID
PRESCRIBER-NAME
PROVIDER-NAME
QUANTITY-DIPENSED
REJECTION-CODE
REJECTION-MESSAGE
REMAININGTROOP
RX-NUMBER
| K | I | D | E | T | T | I | M | B | U | S | - | E | T | A | D | O | I | H | L |
| I | D | R | E | S | D | A | T | E | - | O | F | - | S | E | R | V | I | C | E |
| X | P | E | M | O | E | I | E | M | A | N | - | C | I | R | E | N | E | G | M |
| Z | C | G | A | E | S | K | N | Y | I | J | L | P | Y | K | H | J | E | Q | V |
| Z | R | A | N | M | N | D | A | Y | - | S | U | P | P | L | Y | N | A | B | P |
| E | V | S | - | A | E | K | X | M | W | G | Q | D | L | U | E | W | A | U | S |
| D | Y | S | D | N | P | R | E | S | C | R | I | B | E | R | - | N | A | M | E |
| O | M | E | N | - | I | A | E | H | Q | M | Z | H | I | E | V | P | K | A | R |
| C | L | M | A | R | D | I | I | Y | O | X | P | C | F | M | Z | J | M | N | C |
| - | G | - | R | E | - | E | I | X | C | V | - | Q | G | A | Y | X | M | U | J |
| N | V | N | B | D | Y | B | A | P | D | I | Q | P | B | I | S | U | F | F | T |
| O | N | O | Q | I | T | J | A | - | N | R | E | R | U | N | Q | F | N | A | W |
| I | P | I | A | V | I | O | E | D | C | O | B | W | G | I | R | E | D | C | O |
| T | Z | T | S | O | T | Z | I | F | P | L | T | Z | P | N | U | Y | A | T | S |
| C | O | C | H | R | N | C | W | Y | F | V | A | J | I | G | T | D | W | U | U |
| E | E | E | L | P | A | C | F | T | X | J | R | S | O | T | T | Q | - | R | H |
| J | I | J | U | T | U | J | X | Y | R | E | Q | J | S | R | W | S | C | E | E |
| E | T | E | O | F | Q | O | E | J | V | E | X | U | D | O | J | G | O | R | I |
| R | S | R | X | - | N | U | M | B | E | R | N | N | M | O | L | B | D | A | S |
| K | A | D | I | - | R | E | B | I | R | C | S | E | R | P | Z | D | E | K | A |
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